Matilda Denise Kelley, BSN, RN, CLT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

769373 Issued in TX

Practice address

2750 Highway 12
Vidor, TX 77662-3435

Phone

(409) 659-7306

Fax

(409) 422-0050

NPI assigned

Sep 19, 2023

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelley's Karing Touch, LLC

  dba Karing Touch - Complete Lymphatic Decongestive Therapy

  • Clinic/Center
  • Vidor, TX
  • NPI 1952128654
  NPD Authorized official
• Lymphatic & Massage Studio of Barbara White

  • Massage Therapist
  • Beaumont, TX
  • NPI 1740064104
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1194503391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 MARION ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776628192",
            "telephone_number": "409-201-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 HIGHWAY 12",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776623435",
            "telephone_number": "409-659-7306",
            "fax_number": "409-422-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MATILDA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "769373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Holloway, NP
• Janet Rose Hooper, RPH
• Hannah Elise Huff
• Syed Muhammad Ali Ahmed Jilani, MD
• Kalos Counseling and Diagnostics, PLLC
• Kelley's Karing Touch, LLC (Karing Touch - Complete Lymphatic Decongestive Therapy)
• Kids Therapy Set, LLC
• Melvin Kohn
• Jennie Lam, PHARMD
• Shelley Landry

• Registered Nurse in Vidor, TX
• Providers in Vidor, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.